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Zero Draft: A First Step in Research Writing 零草稿:研究写作的第一步
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-11-06 DOI: 10.58600/eurjther1815
Waqar Naqvi, Purva Gulrandhe
The zero draft, often termed as the preliminary, unpolished version of a research paper, holds a pivotal role in the research process. Despite its initial status, this early draft offers myriad benefits to researchers. One crucial advantage is its ability to enhance clarity of thought. It compels authors to critically evaluate their research question, objectives, and methodologies, ensuring focused and purposeful work [1]. Additionally, it aids in identifying gaps in the research, shedding light on areas requiring further development or exploration. Furthermore, crafting a zero draft promotes efficiency in time management, providing authors with a clear blueprint for judicious resource allocation. Overcoming writer's block is another advantage, as this initial draft breaks down the task into manageable segments, facilitating the writing process. Moreover, a well-crafted zero draft can serve as a robust foundation for potential publication in academic journals or conferences [1]. To create an effective zero draft, researchers should follow a methodical approach. This involves defining the research question, establishing a comprehensive outline, presenting data or findings succinctly, providing detailed descriptions of research methods, summarising pertinent literature, highlighting contributions to the field, offering a preliminary analysis of discoveries, proposing potential avenues for future research, and ensuring accurate citation of all sources while actively seeking feedback from peers [2]. In conclusion, the zero draft, though initially raw, plays a pivotal role in the research process. It fosters clarity of thought, aids in identifying research gaps, promotes collaboration, streamlines time management, assists in overcoming writer's block, and lays the groundwork for potential publication. By adhering to a systematic approach, researchers can fully harness the potential of their zero drafts to advance their research endeavors effectively.
零稿,通常被称为研究论文的初步,未经润色的版本,在研究过程中起着关键作用。尽管它处于初始状态,但这个早期草案为研究人员提供了无数的好处。一个关键的优势是它能够提高思维的清晰度。它迫使作者批判性地评估他们的研究问题、目标和方法,确保工作集中和有目的[1]。此外,它有助于确定研究中的差距,阐明需要进一步发展或探索的领域。此外,制作零草稿可以提高时间管理的效率,为作者提供明智的资源分配的清晰蓝图。克服写作障碍是另一个优势,因为这个初稿将任务分解成可管理的部分,促进了写作过程。此外,精心制作的零稿可以作为在学术期刊或会议上发表的坚实基础[1]。为了创造一个有效的零草案,研究人员应该遵循一个有条不紊的方法。这包括定义研究问题,建立一个全面的大纲,简洁地展示数据或发现,提供研究方法的详细描述,总结相关文献,突出对该领域的贡献,提供发现的初步分析,提出未来研究的潜在途径,并确保准确引用所有来源,同时积极寻求同行的反馈[2]。总之,零草案,虽然最初是原始的,但在研究过程中起着关键作用。它能促进思路清晰,有助于发现研究差距,促进合作,简化时间管理,帮助克服写作障碍,并为潜在的出版奠定基础。通过坚持系统的方法,研究人员可以充分利用他们的零草稿的潜力,有效地推进他们的研究工作。
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引用次数: 0
From Ancient Mythology to Modern Technology: The Historical Evolution of Artificial Intelligence 从古代神话到现代技术:人工智能的历史演变
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-11-06 DOI: 10.58600/eurjther1895
Yaşar Kemal Duymaz, Şamil Şahin
Dear Editors, Recently, a fascinating article detailing the evolution of Artificial Intelligence (AI) was published, as the article describes it with the bronze creature Talos from ancient Greek myths and the groundbreaking DaVinci Si and DaVinci Xi surgical systems of the modern era [1]. The interaction of ancient myths and medical technology shows how far we have come but how deeply we remain connected to our past. As the article emphasizes, Talos, described in ancient Greek literature, may be the world's first recorded concept of an automaton with Artificial Intelligence capability. Talos, created by the god Hephaestus, used his bronze form and inner fire to patrol the coasts of Crete and deter invaders [2]. The story of a machine that moves independently, driven by an energy source and following specific instructions, is astoundingly pioneering [2]. It is interesting to think that robots, an idea we usually think of as a modern concept, were present in the imagination of ancient civilizations. Leonardo da Vinci's robot knight is a moving tribute to the versatile genius of the Renaissance [3]. However, since its operation depends on external intelligence, it is not a direct precursor to the AI we know today. The article makes this distinction. However, A claim that has been presented is open to discussion. Naming AI surgical tower da Vinci is misleading, article suggests. Although Leonardo's automaton was not autonomous, its extensive notebooks testify to a questioning and innovative mind that was always pushing boundaries. In this sense, it feels appropriate to mention the name of Da Vinci, a technological marvel. The underlying sentiment is concurred with. Hephaestus' creation of Talos offers a more direct line to the concept of autonomous machines and perhaps it deserves a more prominent position in the story of the history of Artificial Intelligence. Highlighting this overlooked intersection of mythology, history, and technology is commendable. Such discussions highlight the importance of understanding our past while understanding our rapidly evolving present and future. Sincerely yours,
古代神话和医疗技术的相互作用表明,我们已经走了多远,但我们与过去的联系是多么紧密。正如文章所强调的那样,古希腊文学中描述的塔洛斯可能是世界上第一个有记录的具有人工智能能力的自动机概念。塔洛斯是赫菲斯托斯神创造的,他用青铜的外形和内心的火焰在克里特岛海岸巡逻,威慑入侵者[2]。一个由能源驱动并按照特定指令独立移动的机器的故事是惊人的开创性[2]。有趣的是,我们通常认为机器人是一个现代概念,但它却存在于古代文明的想象中。列奥纳多·达·芬奇的机器人骑士是对文艺复兴时期多才多艺的天才的感人致敬[3]。然而,由于它的运作依赖于外部智能,它并不是我们今天所知道的人工智能的直接前身。这篇文章做了这样的区分。然而,一个已经提出的主张是可以讨论的。文章称,将人工智能手术塔命名为达芬奇是一种误导。虽然列奥纳多的自动机不是自主的,但其大量的笔记本证明了他的质疑和创新思维总是在突破界限。从这个意义上说,提到达芬奇这个技术奇迹是合适的。潜在的情绪是一致的。赫菲斯托斯创造的塔洛斯为自主机器的概念提供了一条更直接的线索,也许它应该在人工智能的历史故事中占据更突出的位置。强调神话、历史和技术这一被忽视的交叉点是值得称赞的。这样的讨论强调了在理解我们快速发展的现在和未来的同时理解我们的过去的重要性。谨致问候,
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引用次数: 0
Hippocampal ZnT3 (SLC30A3) Levels Reflect Hippocampal Tissue Damage in Chronic Exercising Diabetic Rats 慢性运动糖尿病大鼠海马ZnT3 (SLC30A3)水平反映海马组织损伤
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-11-06 DOI: 10.58600/eurjther1874
Abdulkerim Kasim Baltaci, Mehmet Yasli, Saltuk Bugra Baltaci, Rasim Mogulkoc, Esma Menevse, Omer Unal
Objective: In this study, it was investigated how chronic exercise affects hippocampus tissue damage and ZnT3 levels in diabetic rats. Methods: The 40 adult rats wereused in the study were divided into 4 equal groups: Control (G1), Exercise Control (G2), Diabetes (G3), Diabetes+Exercise (G4). Diabetes was induced in animals in G3 and G4 by injecting intraperitoneal streptozotocin (STZ) twice, 24 hours apart. The animals in G2 and G4 were runedon the rat treadmill for 45 minutes daily for 4 weeks. MDA (spectrophotometric method) and ZnT3 (ELISA method) levels were determined in hippocampus tissue samples obtained from animals sacrificed at the end of the experimental procedures. Results: In the current study, the highest MDA and lowest ZnT3 levels in the hippocampus tissue were obtained in the diabetes group (G3) (P<0.05). Chronic exercise prevented increased hippocampal tissue damage in diabetic rats and reversed decreased ZnT3 levels (P<0.05). Conclusion: The results of our study showed that 4 weeks of chronic exercise could be prevent increased tissue damage in the hippocampus tissue of diabetic rats and ameliorate the decreased ZnT3 levels. The data obtained in this study indicate that ZnT3 levels in diabetic rats may be an indicator of hippocampal tissue damage.
目的:研究慢性运动对糖尿病大鼠海马组织损伤及ZnT3水平的影响。方法:将40只成年大鼠随机分为4组:对照组(G1)、运动对照组(G2)、糖尿病组(G3)、糖尿病+运动组(G4)。采用2次腹腔注射链脲佐菌素(STZ)诱导G3、G4大鼠糖尿病,间隔24 h。G2和G4组小鼠每天在大鼠跑步机上运动45分钟,连续4周。实验结束时,测定小鼠海马组织样品中MDA(分光光度法)和ZnT3(酶联免疫吸附试验法)水平。结果:本研究中,糖尿病组(G3)海马组织MDA含量最高,ZnT3含量最低(P<0.05)。慢性运动可预防糖尿病大鼠海马组织损伤加重,逆转ZnT3水平下降(P<0.05)。结论:慢性运动4周可预防糖尿病大鼠海马组织损伤加重,改善ZnT3水平下降。本研究数据提示,糖尿病大鼠体内ZnT3水平可能是海马组织损伤的一个指标。
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引用次数: 0
Retrospective Analysis of Head and Maxillofacial Injuries: FIFA World Cup 2022 Report 头部和颌面损伤的回顾性分析:2022年FIFA世界杯报告
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-17 DOI: 10.58600/eurjther1873
Ricardo Grillo, Alexandre Borba, Mariana Brozoski, Kamran Ali, Sahand Samieirad, Essam Al-Moraissi, Maria da Graça Naclério-Homem
Objectives: The aim of this study is to analyze the incidence, causes and consequences of head and maxillofacial injuries in the 2022 FIFA World Cup. Methods: This retrospective study, following the STROBE guideline, conducted an online investigation during the 2022 World Cup, with a specific focus on injuries resulting in player substitutions or absences of at least one match. To mitigate potential injury exaggeration, journalistic reports were prioritized over video analysis. The analysis of injuries involved the utilization of descriptive statistics, the Kolmogorov-Smirnov test, and the Pearson correlation test, with a significance threshold set at p<0.05. The analytical tools Microsoft Excel and RStudio were employed. Comparative insights were derived from previous FIFA World Cup data; however, injuries lacking sufficient recovery time were classified as preseason injuries, potentially introducing an element of bias to the analysis. Results: During the FIFA World Cup 2022, a comprehensive analysis revealed a total of 123 injuries leading to player substitutions or subsequent game absences, of which seven were localized in the head or maxillofacial region. Statistical analysis indicated a departure from normal data distribution, and a robust correlation was observed between the number of players in national leagues and injury incidence. Noteworthy is the participation of 42 distinct national soccer leagues in contributing players to the tournament's national squads, with no specific league demonstrating a predisposition to higher injury rates. Within the dataset, three maxillofacial injuries were identified. It is of interest that five athletes opted for facemasks as protective measures for the maxillofacial region, and remarkably, only one of them experienced an injury during the World Cup but subsequently resumed play in subsequent matches, while the remaining four athletes had sustained injuries prior to the tournament. Conclusion: The 2022 FIFA World Cup was associated with a low number of head and maxillofacial injuries, with collisions with other players being the most common cause. Despite their limited occurrence, these injuries can have severe implications. In response to the increase in concussions, FIFA implemented an improved safety protocol, which involves immediate game halts for medical assessment and allows player substitutions without affecting the team's allotted substitutions. This change has been well-received by stakeholders. Furthermore, the use of protective equipment, such as custom-made shields, is growing in popularity and has the potential to reduce injury severity and shorten recovery time. Modern technology enables the creation of comfortable and effective protective gear, enhancing player safety. Overall, the study emphasizes the importance of injury prevention strategies in sports, calling for continued advancements in protective equipment design and increased transparency in injury reporting.
目的:本研究的目的是分析2022年国际足联世界杯期间头部和颌面损伤的发生率、原因和后果。方法:本回顾性研究遵循STROBE指南,在2022年世界杯期间进行了一项在线调查,特别关注导致球员换人或至少缺席一场比赛的伤病。为了减少潜在的伤害夸大,新闻报道优先于视频分析。损伤分析采用描述性统计、Kolmogorov-Smirnov检验和Pearson相关检验,显著性阈值设为p<0.05。分析工具为Microsoft Excel和RStudio。对比分析来自于之前的FIFA世界杯数据;然而,缺乏足够恢复时间的伤病被归类为季前赛伤病,这可能会给分析带来偏见。结果:在2022年FIFA世界杯期间,一项综合分析显示,共有123名球员受伤,导致球员被换下或随后缺阵,其中7人位于头部或颌面区域。统计分析表明,数据分布偏离正态分布,国家联赛球员数量与伤病发生率之间存在显著相关性。值得注意的是,有42个不同的国家足球联盟为本届世界杯的国家队贡献了球员,没有一个特定的联盟显示出更高的受伤率。在数据集中,确定了三例颌面部损伤。有趣的是,五名运动员选择戴口罩作为颌面部区域的保护措施,值得注意的是,他们中只有一人在世界杯期间受伤,但随后在随后的比赛中恢复了比赛,而其余四名运动员在比赛前受伤。结论:2022年国际足联世界杯与头部和颌面受伤的数量较少有关,与其他球员的碰撞是最常见的原因。尽管发生的次数有限,但这些伤害可能会产生严重的影响。为了应对脑震荡的增加,国际足联实施了一项改进的安全协议,其中包括立即暂停比赛以进行医疗评估,并允许在不影响球队分配替补的情况下更换球员。这一变化受到了利益相关者的欢迎。此外,使用防护设备,如定制的盾牌,越来越受欢迎,并有可能减少伤害的严重程度和缩短恢复时间。现代科技使创造舒适和有效的防护装备,提高球员的安全。总的来说,该研究强调了体育运动中伤害预防策略的重要性,呼吁在防护设备设计上不断进步,并增加伤害报告的透明度。
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引用次数: 0
Dermoscopic Diagnosis of a Non-Pigmented Skin Tumor: Eccrine Poroma 非色素皮肤肿瘤的皮肤镜诊断:小汗腺斑疹
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-17 DOI: 10.58600/eurjther1886
Hasan Aksoy, Filiz Cebeci Kahraman, Melek Aslan Kayıran, Vefa Aslı Erdemir, Mehmet Salih Gürel, Bengü Çobanoğlu Şimşek
Dear Editor, Eccrine poroma stands as a benign adnexal neoplasm that originates from the acrosyringium. It typically emerges as solitary, flesh-colored, or erythematous papules, plaques, or nodules, primarily appearing in areas with sweat glands. As well as pigmented lesions, dermoscopy has proven to enhance the clinical diagnosis of numerous non-pigmented skin tumors, including eccrine poroma. Herein we present a case of eccrine poroma located on the dorsal aspect of the left foot, with characteristic dermoscopic features. A 60-year-old woman was admitted with an asymptomatic lesion on the dorsum of her left foot, which had manifested approximately four years before. Clinically, the lesion presented as a well-circumscribed, violaceous, 0.9x0.9 cm papule (Figure 1a). Dermoscopic examination revealed flower-like and leaf-like vascular patterns, white interlacing areas, glomerular vessels, and milky red globules (Figures 1c-d). The lesion was excised and histopathologic findings were consistent with eccrine poroma (Figure 1b). Eccrine poroma (EP) is an adnexal tumor originating in the intraepidermal part of the eccrine sweat gland duct. Dermoscopy and histopathology help to differentiate EP from pyogenic granuloma, seborrheic keratosis, verruca vulgaris, basal cell carcinoma, squamous cell carcinoma, and amelanotic melanoma. Well-defined dermoscopic features in EP are: White interlacing areas around vessels, milky-red globules, flower-like and leaf-like vascular patterns, glomerular vessels, hairpin vessels, yellow structureless areas, poorly visualized vessels, and well-circumscribed globular or lacuna-like structures separated by white to pink mesh bands [1-3]. Histologically, EP manifests as a well-contained tumor constituted of proliferative cuboidal or poroid cells, often extending from the basal epidermis into the dermal layer. Shave, electrosurgical destruction or simple excision may be the treatment of lesions, depending on the depth of the lesion. Kind Regards
亲爱的编辑,内分泌囊肿是一种良性的附件肿瘤,起源于肢端注射器。它通常表现为孤立的肉色或红斑丘疹、斑块或结节,主要出现在汗腺区域。除了色素性病变,皮肤镜检查已被证明可以提高许多非色素性皮肤肿瘤的临床诊断,包括小汗腺脓肿。在这里,我们提出了一个病例的汗腺脓肿位于背方面的左脚,与特征性的皮肤镜特征。一位60岁的女性因其左脚背部无症状病变入院,该病变大约在四年前表现出来。临床表现为边界清晰,紫色,0.9x0.9 cm丘疹(图1a)。皮肤镜检查显示花状和叶状血管,白色交错区,肾小球血管和乳红色小球(图1c-d)。病变被切除,组织病理学结果与内分泌脓肿一致(图1b)。外汗腺脓肿(EP)是一种起源于外汗腺导管表皮内部分的附件肿瘤。皮肤镜检查和组织病理学有助于区分EP与化脓性肉芽肿、脂溢性角化病、寻常性疣、基底细胞癌、鳞状细胞癌和无色素黑色素瘤。EP明确的皮肤镜特征为:血管周围的白色交错区,乳红色小球,花状和叶状血管模式,肾小球血管,发夹血管,黄色无结构区,不明显的血管,以及由白色至粉红色网带分隔的边界清楚的球状或腔隙样结构[1-3]。组织学上,EP表现为一种由增生的立方细胞或多孔细胞组成的肿瘤,通常从基底表皮延伸到真皮层。根据病变的深度,刮除、电手术破坏或简单切除都可能是治疗病变的方法。亲切的问候
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引用次数: 0
Current Bio-based Cements and Radioactive Opacifiers in Endodontic Approaches: A Review of the Materials Used in Clinical Practice 目前生物基骨水泥和放射性不透明剂在根管入路中的应用:临床应用材料综述
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-08 DOI: 10.58600/eurjther1849
A.Najah Saud, Erkan Koç, Olcay Özdemir
Objective: This study aims to evaluate the importance of endodontic root canal sealers in filling cavities and irregularities in root canals with the primary goal of minimizing or eliminating bacterial residues. Despite this crucial objective, it's noteworthy that several conventional sealers have been linked to adverse effects, such as impaired wound healing, inflammation, and bone resorption. Therefore, there is a constant search for an optimal sealer that can effectively mimic the properties of lost tissue while maintaining an acceptable level of biological, physicochemical and biocompatible properties. The present study analyzes bioceramic cement's properties in endodontics through a comprehensive review of the available literature. Also, to evaluate the beneficial properties and characteristics of the biomaterials highlighted in this work. Methods: The present study used a systematic review approach to conduct a comprehensive literature search to find relevant publications on bioceramic cement properties in the endodontics field. Articles were retrieved using MeSH keywords and digital searches of journal websites. The selected studies were examined to extract data on sealability, bioactivity, pH, cytotoxicity, color change, radiopacity, edge adaptation, adhesive strength, antibacterial properties and biocompatibility. Results: The results of the reviewed research show that bioceramic endodontic cement has favorable properties for the therapeutic treatment of root canals. The literature highlights the material's biocompatibility, low cytotoxicity, bioactivity, radiopacity, appropriate pH value, favorable edge adaptation, high adhesive strength, practical sealability, antibacterial properties and minimal color change. Conclusion: Research results to date indicate that biomaterials used in endodontics have beneficial properties for root canal therapy and mimicking natural tissue regeneration. The beneficial properties of these materials, such as their biocompatibility, bioactivity, radiopacity, pH stability, edge conformability, adhesion strength, sealability and antibacterial properties, make it a promising replacement for traditional sealers. Further studies are needed to investigate the extended clinical effectiveness of the above intervention and to refine its composition to improve the outcomes associated with endodontic therapies.
目的:本研究旨在评估根管密封器在充填牙槽和根管不规则性中的重要性,其主要目的是减少或消除细菌残留。尽管这是一个重要的目标,但值得注意的是,一些传统的封口剂与不良反应有关,如伤口愈合受损、炎症和骨吸收。因此,人们一直在寻找一种最佳的密封剂,既能有效地模拟丢失组织的特性,又能保持可接受的生物、物理化学和生物相容性水平。本研究通过对现有文献的全面回顾,分析了生物陶瓷水泥在牙髓学中的性能。同时,对本研究重点研究的生物材料的有益特性进行了评价。方法:本研究采用系统综述的方法,对牙髓学领域生物陶瓷骨水泥性能的相关文献进行全面检索。使用MeSH关键词和期刊网站的数字搜索检索文章。对选定的研究进行了检查,以提取密封性、生物活性、pH值、细胞毒性、颜色变化、透光性、边缘适应性、粘接强度、抗菌性能和生物相容性的数据。结果:生物陶瓷根管粘固剂具有良好的根管治疗性能。文献强调了该材料的生物相容性、低细胞毒性、生物活性、不透光性、适宜的pH值、有利的边缘适应性、高粘接强度、实用的密封性、抗菌性能和最小的颜色变化。结论:迄今为止的研究结果表明,生物材料用于根管治疗和模拟自然组织再生具有有益的特性。这些材料的有益特性,如它们的生物相容性、生物活性、不透光性、pH稳定性、边缘一致性、粘附强度、密封性和抗菌性能,使其成为传统密封剂的有希望的替代品。需要进一步的研究来调查上述干预措施的扩展临床有效性,并改进其组成以改善与根管治疗相关的结果。
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引用次数: 0
Comparison of Topical Treatment Preferences of Physicians in Dermatological Diseases 皮肤科医生局部治疗偏好的比较
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-04 DOI: 10.58600/eurjther1859
Hasan Aksoy, Melek Aslan Kayıran, Hümeyra Özger
Objective: Regardless of their specialty, physicians frequently encounter dermatological conditions. We aimed to determine the topical medication choices of physicians for various dermatoses and to identify differences in preferences between dermatologists and non-dermatologist physicians. Methods: Using an online survey, physicians were asked to select three preferred topical antibiotics/antiseptics, antifungals, and corticosteroids when treating a pyoderma, dermatophytosis, or a dermatosis necessitating topical corticosteroid therapy. Statistical analysis was performed using Statistical Package for the Social Sciences v.27. Results: Among 358 physicians, 24.0% were dermatologists, and 76.0% were non-dermatologist physicians. The mean age was 38.40, and the average duration of medical practice was 14.04 years. The most frequently chosen topical antibacterials were fusidic acid (74.3%) and mupirocin (65.9%); topical antifungals were isoconazole nitrate + diflucortolone valerate (56.4%), tioconazole (27.7%), and naftifine (25.1%); and topical corticosteroids were clobetasol propionate (38.5%), methylprednisolone aceponate (36.6%), and mometasone furoate (34.6%). Dermatologists used nitrofurazone and izokonazol nitrate + diflucortolone valerate less frequently compared to non-dermatologists (0% vs. 27.6% and 8.1% vs. 71.7%, respectively; p-values <0.001). Family physicians/general practitioners constituted the largest group selecting clobetasol propionate (28.3%). Conclusion: Physicians in our country predominantly choose fusidic acid and mupirocin as topical antibiotics, aligning with existing literature. However, nitrofurazone, causing contact dermatitis, and corticosteroid-containing antifungals with the potential for complications due to inappropriate use are frequently preferred by non-dermatologist physicians but not by dermatologists. The bold choice of clobetasol propionate, an ultrapotent topical corticosteroid, by family physicians/general practitioners is an important issue to address during medical education and post-graduation.
目的:无论他们的专业是什么,医生经常会遇到皮肤病。我们的目的是确定医生对各种皮肤病的局部用药选择,并确定皮肤科医生和非皮肤科医生之间偏好的差异。 方法:通过在线调查,医生被要求在治疗脓皮病、皮肤病或需要局部皮质类固醇治疗的皮肤病时,选择三种首选的局部抗生素/防腐剂、抗真菌药和皮质类固醇。使用Statistical Package for the Social Sciences v.27. 进行统计分析;结果:358名医师中皮肤科医师占24.0%,非皮肤科医师占76.0%。平均年龄38.40岁,平均执业时间14.04年。最常选择的外用抗菌药物是福西地酸(74.3%)和莫匹罗星(65.9%);外用抗真菌药物为硝酸异康唑+戊酸双氟落酮(56.4%)、噻康唑(27.7%)和纳替芬(25.1%);外用皮质类固醇为丙酸氯倍他索(38.5%)、乙酰甲泼尼龙(36.6%)和糠酸莫米松(34.6%)。与非皮肤科医生相比,皮肤科医生使用硝基呋喃酮和硝酸异康唑+戊酸双氟落酮的频率较低(分别为0%对27.6%和8.1%对71.7%;假定值& lt; 0.001)。家庭医生/全科医生是选择丙酸氯倍他索的最大群体(28.3%)。 结论:我国内科医生主要选择夫西地酸和莫匹罗星作为外用抗生素,与已有文献一致。然而,引起接触性皮炎的硝基呋喃酮和含有皮质类固醇的抗真菌药物,由于使用不当可能导致并发症,通常是非皮肤科医生的首选,而不是皮肤科医生的首选。家庭医生/全科医生大胆选择丙酸氯倍他索(一种超强效外用皮质类固醇)是医学教育和毕业后需要解决的一个重要问题。
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引用次数: 0
A New Vital Sign in Determining the Triage Category in Emergency Department Presentations: End-Tidal Carbon Dioxide 在急诊科报告中确定分诊类别的新生命体征:潮末二氧化碳
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-24 DOI: 10.58600/eurjther1819
Fatma Tortum, Ali Gur, Ayça Calbay, Omer Turalioglu, Erdal Tekin
Objective: To investigate whether patients’ end-tidal carbon dioxide (ETCO2) values ​​measured at the time of their presentation to the emergency department can be used together with vital signs in determining their triage categories and predicting hospitalization. Material and method: This prospective, observational, cross-sectional study was conducted between May 1, 2023, and June 1, 2023, at the emergency department of a tertiary hospital. The study included patients aged >18 years who presented to the emergency department and were evaluated to have a triage category of level 2, 3, or 4 according to the five-step triage system. The patients’ vital signs were measured at the time of their presentation to the emergency department and the ETCO2 values ​​measured through a nasal cannula were statistically evaluated in terms of their relationship with triage categories and hospitalization indications. Results: A total of 1,100 patients were included in the study. According to the triage category of the patients, the mean ETCO2 values for triage levels 2, 3, and 4 were 27.1±3.6, 30.6±3.1, and 35.4±3.5, respectively, indicating statistically significant differences (p<0.001). When the relationship of ETCO2 and vital signs with hospitalization indications evaluated at the emergency department was examined, the area under the receiver operating characteristic curve for ​​ ETCO2 was 0.733, which was statistically significant (p<0.001). Conclusion: On completion of the study, it was concluded that the ETCO2 values ​​measured at the time of presentation to the emergency department can be a new vital sign that can be used to determine the triage categories of patients and identify those who require hospitalization.
目的:探讨患者到急诊科就诊时测得的潮末二氧化碳(ETCO2)值能否与生命体征一起用于确定患者的分诊分类和预测住院情况。材料和方法:这项前瞻性、观察性、横断面研究于2023年5月1日至2023年6月1日在一家三级医院急诊科进行。该研究纳入了到急诊科就诊的18岁患者,并根据五步分诊系统评估其分诊类别为2级、3级或4级。测量患者到急诊科就诊时的生命体征,统计评估鼻插管测得的ETCO2值与分诊类别和住院指征的关系。结果:共纳入1100例患者。根据患者的分类,分级2、3、4的平均ETCO2值分别为27.1±3.6、30.6±3.1、35.4±3.5,差异有统计学意义(p<0.001)。在急诊科评估ETCO2与生命体征与住院指征的关系时,受试者工作特征曲线下ETCO2面积为0.733,差异有统计学意义(p<0.001)。结论:在研究完成时,我们得出结论,在急诊科就诊时测量的ETCO2值可以作为一种新的生命体征,可用于确定患者的分诊类别和确定需要住院治疗的患者。
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引用次数: 0
An Introduction to Propensity Score Analysis: Checklist for Clinical Researches 倾向性评分分析简介:临床研究清单
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-23 DOI: 10.58600/eurjther1813
Nazlı Totik, Sevinç Püren Yücel Karakaya, Zeliha Nazan Alparslan
Background: Propensity score analysis is a widely used method to estimate treatment effect in dealing with the selection bias (i.e. lack of randomization) of observational studies. Although, there are relatively many guidelines in the literature for the adoption of this analysis, no checklists exist. Objective: In this study, we propose a basic guideline for propensity score analysis, a tutorial that may be used to improve the quality of studies which implement this analysis. Additionally, in line with this guideline, we present an easy-to-use checklist which will assist researchers in the analysis process. Conclusion: In light of the principles in this guideline/checklist, we propose that minor updates be considered for STROBE.
背景:倾向评分分析是一种广泛使用的方法来估计治疗效果,以处理选择偏倚(即缺乏随机化)的观察性研究。虽然,在文献中有相对多的指导方针,采用这种分析,没有清单存在。目的:在本研究中,我们提出了一个倾向评分分析的基本指南,一个可以用来提高实施这种分析的研究质量的教程。此外,根据本指南,我们提出了一个易于使用的清单,这将有助于研究人员在分析过程中。结论:根据本指南/检查表中的原则,我们建议考虑对STROBE进行小的更新。
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引用次数: 0
A Modified Technique of Laparoscopic Closed-Entry by the Veress Needle: A Novel, Unique, Rapid, and Simple Procedure 一种改进的腹腔镜下Veress针闭式入路技术:一种新颖、独特、快速、简单的手术方法
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-20 DOI: 10.58600/eurjther1846
Seyhun Sucu, Ozge Kömürcü Karuserci, İbrahim Taşkum, Furkan Çetin, Muhammed Hanifi Bademkıran, Hüseyin Çağlayan Özcan
Background: Gynecologists usually perform the laparoscopic closed-entry technique to access the intraperitoneal cavity, while general surgeons prefer the open-entry approach, which takes more time. This study aims to introduce and discuss the novel modified closed laparoscopic entry technique. This method involves cutting the fascia after the skin incision to allow only the Veress needle to enter, thus avoiding complications arising from the closed procedure. This approach may benefit safe and quick laparoscopic entry, especially for obese patients. Method of Technique: The current approach, which we call the modified closed Veress technique (MCVT), is a modification of the previously defined Veress needle entrance method. After the skin is cut, the subcutaneous fat tissue is released with the Mosquito clamp, the muscular fascia is held and hung with the Kocher clamp, and the incision is created large enough to insert the Veress needle. Then, the Veress needle is passed through the parietal peritoneum, the final step before reaching the intraperitoneal cavity. Results: In our Gynecology and Obstetrics clinic, the current technique for the first entrance to the intraperitoneal cavity was used in a total of 294 patients between the years 2019-2023. There were no intraoperative or postoperative complications associated with the current approach. Moreover, in 12 patients who failed with the standard closed technique, intraperitoneal gas charging was provided in the first trial with the MCVT. Conclusion: Because it is possibly as safe as the open technique and as quick as the standard closed technique, the MCVT may be one of the alternative techniques for the first laparoscopic entry into the peritoneal cavity to prevent complications and save time. Nevertheless, more thorough and patient-based prospective randomized research is required on this topic.
背景:妇科医生通常采用腹腔镜闭式入路进入腹腔,而普通外科医生更倾向于采用开式入路,这需要更多的时间。本研究旨在介绍和讨论一种新型改良的闭式腹腔镜入腔技术。这种方法包括在皮肤切口后切开筋膜,只允许Veress针进入,从而避免了封闭手术引起的并发症。这种方法可能有利于安全和快速的腹腔镜进入,特别是对于肥胖患者。技术方法:目前的方法,我们称之为改良的封闭Veress技术(MCVT),是对先前定义的Veress针入法的改进。在皮肤被切开后,用蚊子钳释放皮下脂肪组织,用科赫钳夹住并悬挂肌肉筋膜,并将切口造得足够大以插入Veress针。然后,Veress针穿过腹膜顶骨,这是到达腹腔前的最后一步。结果:在我院妇产科门诊,2019-2023年间,共有294例患者使用了现行的首次进入腹腔的技术。目前的入路没有术中或术后并发症。此外,在12例使用标准封闭技术失败的患者中,在第一次试验中使用MCVT提供了腹腔内气体充注。结论:MCVT与开放技术一样安全,与标准封闭技术一样快速,可作为腹腔镜首次进入腹腔的替代技术之一,可预防并发症,节省时间。然而,在这个主题上,需要更彻底和基于患者的前瞻性随机研究。
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引用次数: 0
期刊
European Journal of Therapeutics
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